Nonfermenting and Miscellaneous Gram (-) Bacilli Flashcards
Gen characteristics of nonfermenting & miscellaneous gram (-) bacilli.
- Not able to ferment sugar
- Fail to acidify O-F media (when overlayed w/mineral oil
- fail to acidify TSI
Oxidize carbohydrates
Oxidizers
Inert/biochemically inactive
Nonoxidizer/asacchrolytic
Nonfermenting and miscellaneous gram (-) bacilli characteristics except:
A. Motile
B. Most oxidase (-)
C. Pigmentation
D. Ubiquitous
B. Most oxidase (+)
In OF test, what is the color of oxidative and non oxidizer
Oxidative(+): yellow
Non oxidizer(-): green
Thin, gram (-)bacilli/coccobacilli
Nonfermenting/miscellaneous gram (-) bacilli
T or F
Nonfermenting/miscellaneous gram (-) bacilli is oxidase (+)
True
Nonreactivity in 24hrs. in commercial system for ___.
Enterobacteriacieae
T or F
Nonfermentose produce acid in the slant/butt of TSI/KIA.
False- no acid formation
T or F
Nonfermentose is resistant to a variety of antimicrobial agents.
True
List of Clinically Significant Nonfermentative Gram-Negative Bacilli
- Fluorescent Pseudomonad Group
- Acinetobacter
- Stenotrophomonas maltophilia
- Burkholderia
- Moraxella and Oligella
Characteristics of Pseudomonas except.
A. Catalase and Oxidase (-)
B. Motile
C. Grows in MAC(lactose fermenter)
D. Oxidizer/ asaccharolytic
A. Catalase and Oxidase(+)
C. Non lactose fermenter
Most common spp. Of Pseudomonas
P. aeruginosa
It cause nosocomial respiratory tract infection.
P. aeruginosa
Clin. Infection of P. aeruginosa except:
A. Nosocomial UTI
B. Bacteremia w/ecthyma gangrenosum of skin
C. Encephalitis
D. Endocarditis
C
Arrange the order from most to least common cause of gram (-) bacilli bacteremia.
- E. coli
- K. pneumoniae
- P. aeruginosa
Other less conditions of P. aeruginosa
Otitis externa (swimmer’s ear)
Necrotizing skin rash (jacuzzi/hot tub syndrome
Infection of nail beds (wearing artificial nails)
Virulence factors of P. aeruginosa
Endotoxin (LPS)
Pili
Capsule
Motility
Exotoxin
Exotoxin A
Most important virulence factor of P. aeruginosa cause it block protein synthesis.
Exotoxin A
Fluorescent pseudomonad group.
P. aeruginosa
P. flourescens
P. putida
Fluorescent pseudomonad group produce ___.
Pyoverdin (yellow-green/ yellow-brown)
P. aeruginosa produce ____ (blue, water soluble pigment)
Pyocyanin
Pyocyanin+pyoverdin =
Blue green /green color
Other pigments produced by Fluorescent pseudomonad group.
Pyorubin (red)
Pyomelanin(brown/black)
Agar recommend for Fluorescent pseudomonad group.
Cetrimide agar
T or F
Fluorescent pseudomonad group is beta hemolytic in SBA.
False-nonhemolytic
Appearance of Colonies of Fluorescent pseudomonad group.
Flat spreading colonies (metallic sheen)
P. aeruginosa produce what type of odor
Fruity, grapelike odor
The odor produce by P. aeruginosa is because of ___.
2-aminoacetophenone
Fluorescent pseudomonad group best grow at what temp?
42°C (thermophiles)
Fluorescent pseudomonad group that hs very low virulence
P. fluorescens
P. putida
P. fluorescens and P. putida can grow at ____°C
4°C
They produce pyoverdin
P. fluorescens
P. putida
How to differentiate P. fluorescens and P. putida
Gelatin hydrolysis
T or F
In gelatin hydrolysis
(+) P. putida
(-) P. fluorescens
False.
(-) P. putida
(+) P. fluorescens
Most common spp. Of Acinetobacter
A. baumannii
A. lwoffii
Acinetobacter characteristics except:
A. Opportunistic pathogen
B. Second common to P. aeruginosa
C. Oxidase(+)
D. Catalase (-)
E. Nonmotile
C.Oxidase (-)
D.Catalase (+)
Acinetobacter prefers what temp and pH to grow.
Lower temp. (30-35°C)
pH 5.5 to 6.0
T or F
Acinetobacter is strictly aerobic
True
Stenotrophomonas maltophilia formely known as _____
P. maltophilia
3rd most common nonfermenting gram (-) bacilli
S. maltophilia
Common to hospital environment
S. maltophilia
Single most important risk factor infection of S. maltophilia
Venous Catheter
Stenotrophomonas maltophilia is
Oxidase ()
Catalase ()
O(-)
C(+)
Low-grade, nosocomial pathogens
Burkholderia cepacia
Most often associated with pneumonia in patients with (chronic granulomatous disease)
B. cepacia
Slective media for Burkholderia cepacia:
-PC
-OFPBL
-BCSA
(P. cepacia)
(Oxidative-fermentive base, polymyxin B, Bacitracin)
(B. cepacia selective agar)
Appearance of B. cepacia in BCSA.
weak, slow, oxidase (+) rxn.
Produce nonfluorescing yellow/green pigment
It cause glanders (zoonosis affecting horses, mules, donkeys)
B. mallei
Can produce several local supportive/acute pulmonary infections.
B. mallei
It causes melioidosis (an aggresive granulomatous pulmonary disease)
B. pseudomallei
Pneumonia results from B. pseudomallei resembles/mimic ___ using X-ray
Tuberculosis
Characteristics of B. pseudomallei colonies and staining.
Wrinkled colony and Bipolar staining
Selective agar for B. pseudomallei.
Ashdown agar
Appearance of B. pseudomallei in Ashdown agar.
Deep pink colonies with Earthy odor
Nonlactose fermenter, which is strongly oxidase (+), nonmotile(Branhamella catarrhalis)
Moraxella
Similar to moraxella and they are small, paired, gram (-) bacilli and most isolated from urinary tract
Oligella